Maternal consumption of polyphenol-rich foods in late pregnancy and fetal ductus arteriosus flow dynamics

被引:60
|
作者
Zielinsky, P. [1 ]
Piccoli, A. L., Jr. [1 ]
Manica, J. L. [1 ]
Nicoloso, L. H. [1 ]
Menezes, H. [2 ,3 ]
Busato, A. [1 ]
Moraes, M. R. [1 ]
Silva, J. [1 ]
Bender, L. [1 ]
Pizzato, P. [1 ]
Aita, L. [1 ]
Alievi, M. [4 ]
Vian, I. [5 ]
Almeida, L. [5 ]
机构
[1] FUC, IC, Fetal Cardiol Unit, BR-90620001 Porto Alegre, RS, Brazil
[2] FUC, IC, Postgrad Program, BR-90620001 Porto Alegre, RS, Brazil
[3] FUC, IC, Anim Expt Lab, BR-90620001 Porto Alegre, RS, Brazil
[4] Univ Fed Rio Grande do Sul, Sch Vet, Porto Alegre, RS, Brazil
[5] FUC, IC, Nutr Serv, BR-90620001 Porto Alegre, RS, Brazil
关键词
echocardiography; ductus arteriosus; prostaglandins; PERSISTENT PULMONARY-HYPERTENSION; ADVANCING GESTATIONAL-AGE; GREEN TEA; RED WINE; INDOMETHACIN TOCOLYSIS; NONALCOHOLIC EXTRACT; CONSTRICTION; RATS; QUESTIONNAIRE; REPERFUSION;
D O I
10.1038/jp.2009.101
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To test the hypothesis that maternal consumption of polyphenol-rich foods during third trimester interferes with fetal ductal dynamics by inhibition of prostaglandin synthesis. Study Design: In a prospective analysis, Doppler ductal velocities and right-to-left ventricular dimensions ratio of 102 fetuses exposed to polyphenol-rich foods (daily estimated maternal consumption >75th percentile, or 1089 mg) were compared with 41 unexposed fetuses (flavonoid ingestion <25th percentile, or 127 mg). Result: In the exposed fetuses, ductal velocities were higher (systolic: 0.96 +/- 0.23 m/s; diastolic: 0.17 +/- 0.05 m/s) and right-to-left ventricular ratio was higher (1.23 +/- 0.23) than in unexposed fetuses (systolic: 0.61 +/- 0.18 m/s, P<0.001; diastolic: 0.11 +/- 0.04 m/s, P = 0.011; right-to-left ventricular ratio: 0.94 +/- 0.14, P<0.001). Conclusion: As maternal polyphenol-rich foods intake in late gestation may trigger alterations in fetal ductal dynamics, changes in perinatal dietary orientation are warranted. Journal of Perinatology (2010) 30, 17-21; doi: 10.1038/jp.2009.101; published online 30 July 2009
引用
收藏
页码:17 / 21
页数:5
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